Individual provider Active NPI

Amanda Marie Clabo, FNP-BC

  • Family Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1124375605
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16748 Issued in TN
Practice address
210 Westwood PL Ste 110
Brentwood, TN 37027-7554
Phone
(615) 206-2462
NPI assigned
Aug 14, 2012
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 16748 TN Primary

Addresses

Primary practice location

210 Westwood PL Ste 110
Brentwood, TN 37027-7554

Mailing address

1787 Veterans Blvd Ste 101
Sevierville, TN 37862-6946
Phone (865) 428-2773

Other practice location 1

641 Middle Creek Rd
Sevierville, TN 37862-5014
Phone (865) 428-0583

Other practice location 2

7565 Chapman Hwy
Suite 107
Knoxville, TN 37920
Phone (865) 983-1310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120924000693 TN Practitioner - Nurse Practitioner 1850549411 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14748TNMDAdult Health Nurse Practitioner
16748TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Well-Key Health, PLLC CurrentSince Jan 18, 2023 Accepting new patients
Landmark Medical of Tennessee PC CurrentSince Jul 11, 2022 Accepting new patients
Chuc, LLC Family CurrentSince Oct 5, 2026 Accepting new patients
NP Health of TN PLLC CurrentSince Jul 1, 2023 Accepting new patients
Landmark Medical of Tennessee PC CurrentSince Jul 11, 2022 Accepting new patients
Mountain Valley RX 05 Inc Past Accepting new patients
Summit Medical Group PLLC PastSince Mar 24, 2024 Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients

Locations

7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

210 Westwood Pl
Ste 110
Brentwood, TN 37027
Phone (615) 206-2462

7625 Chapman Hwy
Ste 107
Knoxville, TN 37920
Phone (865) 983-1310

6500 Kirby Gate Blvd
Memphis, TN 38119
Phone (901) 230-2232

1787 Veterans Blvd
Ste 101
Sevierville, TN 37862
Phone (865) 428-2773

415 Catlett Rd
Sevierville, TN 37862
Phone (865) 453-4247

Interoperability endpoints

  • Direct secure messaging: aclabo@landmarkhealth-direct.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1124375605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 VETERANS BLVD STE 101",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626946",
            "telephone_number": "865-428-2773",
            "fax_number": "865-428-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WESTWOOD PL STE 110",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277554",
            "telephone_number": "615-206-2462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "641 Middle Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378625014",
            "country_code": "US",
            "telephone_number": "865-428-0583",
            "fax_number": "833-908-2174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7565 Chapman Hwy",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37920",
            "country_code": "US",
            "telephone_number": "865-983-1310",
            "fax_number": "865-273-9319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLABO",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.